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CAH241323-02 Madelia Health (Active)
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Main Details
Name
Madelia Health
Subdivision Name
MADELIA COM HOSPITAL INC - Family practice clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241323-02
Medicare Provider Number
241323
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/25/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Madelia Health
David Frank Walz, CEO
(507) 642-3255
Primary Contact
Madelia Community Hospital & Clinic
JANE MALMSKOG, DIRECTOR OF PHARMACY
(507) 642-5257
Addresses
Street Address
401 N 4TH AVE E
MADELIA HEALTH - TRUMAN CLINIC
TRUMAN, MN 56088-1108
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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